PREMIUM COMPUTATION SHEET

Department : MISCELLANEOUS Insured's Name : Guest User

Document No : R/311603/48/2020/13687935/1 Document Date : 24/09/2019

Policy Start Date : 24/09/2019 Policy End Date : 23/09/2020

Product Description : MEDICLAIM INSURANCE Document Type : Proposal

POLICY(INDIVIDUAL)
Policy Type : Mediclaim Insurance Policy(Individual)

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

Basic Cover-Mediclaim 8,00,000.00 37,241.00

LESS :Family Package Discount 0.00 3,724.00
LESS :Digital payment discount 0.00 2,000.00
TOTAL PREMIUM 31,517.00
ADD :SGST 2,837.00
ADD :CGST 2,837.00
STAMP DUTY 0.50
TOTAL AMOUNT 37,191.00

RISK DETAILS

Section : Mediclaim Insurance Policy(Individual)

Individual Details : Adv

Cover Name Sum Insured Rate Premium

Basic Cover-Mediclaim 4,00,000.00 15578/1 15,578.00

Total 15,578.00

Section : Mediclaim Insurance Policy(Individual)

Individual Details : Guest User

Cover Name Sum Insured Rate Premium

Basic Cover-Mediclaim 4,00,000.00 21663/1 21,663.00

Total 21,663.00